Abdominal Pain Management and Point-of-care Ultrasound in the Emergency Department

NCT ID: NCT05402774

Last Updated: 2022-06-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

207 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-01

Study Completion Date

2020-03-01

Brief Summary

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Background: Abdominal pain is one of the most common reasons for admission to the emergency department (ED). This study aimed to investigate the effect of point-of-care ultrasound (POCUS) performed during the initial evaluation phase of patients who presented to the ED with abdominal pain on diagnostic processes, length of stay (LOS) in ED, and hospitalization and healthcare costs.

Methodology: This prospective, randomized, controlled, parallel group study was conducted with patients who presented to the Sakarya Education Research Hospital ED with abdominal pain from October 2019 to March 2020. Patients were divided randomly into two groups: control group where standard diagnostic strategies were applied and the POCUS group where POCUS was performed together with standard diagnostic strategies. All data were analyzed using IBM SPSS 21.

Detailed Description

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Conditions

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Abdominal Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

a randomized, prospective, controlled study
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

DOUBLE

Caregivers Outcome Assessors
At this stage, the patients were divided into two groups: POCUS was applied to patients in the POCUS group after primary clinical evaluation. This procedure was performed in the first hour after the primary clinical evaluations of the patients by evaluating the predetermined parameters in the study form for hepatobiliary, renal, and upper and lower abdominal findings. All processes and results for patients in the control group were followed without any intervention and the results were recorded in the study form.

Study Groups

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point-of-care ultrasound group

Group Type OTHER

point-of-care ultrasound

Intervention Type DIAGNOSTIC_TEST

point-of-care ultrasound

Control group

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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point-of-care ultrasound

point-of-care ultrasound

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* age \>18 years
* Patients who presented to the ED with abdominal pain
* Nontraumatic patients

Exclusion Criteria

* permanent mental disability,
* age \<18 years,
* abdominal trauma within the last 24 hours,
* pregnancy, morbid obesity, repeated admissions,
* referral from an external center to the ED,
* missing patient information.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sakarya University

OTHER

Sponsor Role lead

Responsible Party

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Necip Gökhan Güner

Emergency Medicine Specialist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sakarya University Training and Research Hospital

Sakarya, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Laursen CB, Sloth E, Lassen AT, Christensen Rd, Lambrechtsen J, Madsen PH, Henriksen DP, Davidsen JR, Rasmussen F. Point-of-care ultrasonography in patients admitted with respiratory symptoms: a single-blind, randomised controlled trial. Lancet Respir Med. 2014 Aug;2(8):638-46. doi: 10.1016/S2213-2600(14)70135-3. Epub 2014 Jul 3.

Reference Type BACKGROUND
PMID: 24998674 (View on PubMed)

Guner NG, Yurumez Y, Yucel M, Alacam M, Guner ST, Ercan B. Effects of Point-of-care Ultrasonography on the Diagnostic Process of Patients Admitted to the Emergency Department with Chest Pain: A Randomised Controlled Trial. J Coll Physicians Surg Pak. 2020 Dec;30(12):1262-1268. doi: 10.29271/jcpsp.2020.12.1262.

Reference Type RESULT
PMID: 33397050 (View on PubMed)

Other Identifiers

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16214662/050.01.04/152

Identifier Type: -

Identifier Source: org_study_id

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